The nurse is conducting a postpartum visit to a client who is formula-feeding her infant. Which client statement indicates that teaching about weight maintenance has been effective?
1. "I have increased my caloric intake by 600 calories per day."
2. "My dietician has set my weight loss goal at 1 to 2 pounds per week."
3. "Instead of making another doctor's appointment, I started a diet that my best friend recommended."
4. "My daily regimen includes taking extra vitamin A, vitamin C, and thiamine in order to meet my body's increased need for nutrients after pregnancy."
2
Explanation:
1. If the mother has a good understanding of nutritional principles, it is sufficient to advise her to reduce her daily caloric intake by about 300 kcal and to return to prepregnancy levels for other nutrients.
2. Weight loss goals of 1 to 2 pounds (0.45 to 0.9 kg)/week are usually suggested for mothers who formula-feed.
3. The woman should diet only under the guidance of her primary healthcare provider.
4. After birth, the formula-feeding mother's dietary requirements return to prepregnancy levels.
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1. Perform a daily weight and document. 2. Inform the physician of the BUN result. 3. Assess intake, output, and dietary intake of protein. 4. Monitor for increased medication levels.
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